|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
IP
|
$10.79
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.51 |
| Max. Negotiated Rate |
$9.71 |
| Rate for Payer: Aetna Commercial |
$9.17
|
| Rate for Payer: Aetna Commercial |
$10.03
|
| Rate for Payer: Aetna Commercial |
$8.70
|
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$11.86
|
| Rate for Payer: Aetna Commercial |
$10.33
|
| Rate for Payer: Aetna Commercial |
$13.12
|
| Rate for Payer: Aetna Commercial |
$4.76
|
| Rate for Payer: Aetna Commercial |
$7.22
|
| Rate for Payer: Aetna Commercial |
$8.12
|
| Rate for Payer: Aetna Commercial |
$9.90
|
| Rate for Payer: BCBS Trust/PPO |
$11.52
|
| Rate for Payer: BCBS Trust/PPO |
$12.74
|
| Rate for Payer: BCBS Trust/PPO |
$9.62
|
| Rate for Payer: BCBS Trust/PPO |
$7.89
|
| Rate for Payer: BCBS Trust/PPO |
$10.74
|
| Rate for Payer: BCBS Trust/PPO |
$9.75
|
| Rate for Payer: BCBS Trust/PPO |
$8.91
|
| Rate for Payer: BCBS Trust/PPO |
$8.46
|
| Rate for Payer: BCBS Trust/PPO |
$7.02
|
| Rate for Payer: BCBS Trust/PPO |
$10.03
|
| Rate for Payer: BCBS Trust/PPO |
$4.63
|
| Rate for Payer: BCN Commercial |
$9.75
|
| Rate for Payer: BCN Commercial |
$10.74
|
| Rate for Payer: BCN Commercial |
$11.52
|
| Rate for Payer: BCN Commercial |
$10.03
|
| Rate for Payer: BCN Commercial |
$4.63
|
| Rate for Payer: BCN Commercial |
$7.02
|
| Rate for Payer: BCN Commercial |
$7.89
|
| Rate for Payer: BCN Commercial |
$12.74
|
| Rate for Payer: BCN Commercial |
$9.62
|
| Rate for Payer: BCN Commercial |
$8.46
|
| Rate for Payer: BCN Commercial |
$8.91
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$9.44
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$9.72
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cofinity Commercial |
$8.81
|
| Rate for Payer: Cofinity Commercial |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$8.21
|
| Rate for Payer: Cofinity Commercial |
$10.15
|
| Rate for Payer: Cofinity Commercial |
$4.82
|
| Rate for Payer: Cofinity Commercial |
$13.27
|
| Rate for Payer: Cofinity Commercial |
$9.28
|
| Rate for Payer: Cofinity Commercial |
$10.45
|
| Rate for Payer: Cofinity Commercial |
$7.31
|
| Rate for Payer: Cofinity Commercial |
$10.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Healthscope Commercial |
$5.04
|
| Rate for Payer: Healthscope Commercial |
$7.65
|
| Rate for Payer: Healthscope Commercial |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$10.48
|
| Rate for Payer: Healthscope Commercial |
$9.71
|
| Rate for Payer: Healthscope Commercial |
$12.55
|
| Rate for Payer: Healthscope Commercial |
$13.89
|
| Rate for Payer: Healthscope Commercial |
$8.60
|
| Rate for Payer: Healthscope Commercial |
$10.94
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$10.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Nomi Health Commercial |
$9.68
|
| Rate for Payer: Nomi Health Commercial |
$4.59
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$9.96
|
| Rate for Payer: Nomi Health Commercial |
$12.65
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Nomi Health Commercial |
$6.97
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$8.40
|
| Rate for Payer: Nomi Health Commercial |
$8.85
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.20
|
| Rate for Payer: PHP Commercial |
$8.70
|
| Rate for Payer: PHP Commercial |
$4.76
|
| Rate for Payer: PHP Commercial |
$10.33
|
| Rate for Payer: PHP Commercial |
$11.86
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: PHP Commercial |
$13.12
|
| Rate for Payer: PHP Commercial |
$7.22
|
| Rate for Payer: PHP Commercial |
$10.03
|
| Rate for Payer: PHP Commercial |
$9.17
|
| Rate for Payer: PHP Commercial |
$9.90
|
| Rate for Payer: PHP Commercial |
$8.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.58
|
| Rate for Payer: UHC Core |
$4.68
|
| Rate for Payer: UHC Core |
$9.01
|
| Rate for Payer: UHC Core |
$7.97
|
| Rate for Payer: UHC Core |
$12.88
|
| Rate for Payer: UHC Core |
$9.73
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Core |
$7.10
|
| Rate for Payer: UHC Core |
$8.55
|
| Rate for Payer: UHC Core |
$9.85
|
| Rate for Payer: UHC Core |
$11.65
|
| Rate for Payer: UHC Core |
$10.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.75
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
OP
|
$9.55
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.68 |
| Max. Negotiated Rate |
$8.60 |
| Rate for Payer: Aetna Commercial |
$8.12
|
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$9.90
|
| Rate for Payer: Aetna Commercial |
$7.22
|
| Rate for Payer: Aetna Commercial |
$9.17
|
| Rate for Payer: Aetna Commercial |
$10.33
|
| Rate for Payer: Aetna Commercial |
$4.76
|
| Rate for Payer: Aetna Commercial |
$13.12
|
| Rate for Payer: Aetna Commercial |
$10.03
|
| Rate for Payer: Aetna Commercial |
$11.86
|
| Rate for Payer: Aetna Commercial |
$8.70
|
| Rate for Payer: Aetna Medicare |
$2.81
|
| Rate for Payer: Aetna Medicare |
$2.66
|
| Rate for Payer: Aetna Medicare |
$4.01
|
| Rate for Payer: Aetna Medicare |
$2.48
|
| Rate for Payer: Aetna Medicare |
$2.21
|
| Rate for Payer: Aetna Medicare |
$3.07
|
| Rate for Payer: Aetna Medicare |
$3.03
|
| Rate for Payer: Aetna Medicare |
$1.46
|
| Rate for Payer: Aetna Medicare |
$3.38
|
| Rate for Payer: Aetna Medicare |
$3.63
|
| Rate for Payer: Aetna Medicare |
$3.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.37
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.66
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.36
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.98
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.75
|
| Rate for Payer: BCBS Complete |
$1.04
|
| Rate for Payer: BCBS Complete |
$1.90
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: BCBS Complete |
$2.18
|
| Rate for Payer: BCBS Complete |
$1.57
|
| Rate for Payer: BCBS Complete |
$2.58
|
| Rate for Payer: BCBS Complete |
$2.25
|
| Rate for Payer: BCBS Complete |
$2.41
|
| Rate for Payer: BCBS Complete |
$2.86
|
| Rate for Payer: BCBS Complete |
$2.16
|
| Rate for Payer: BCBS Complete |
$1.77
|
| Rate for Payer: BCBS MAPPO |
$3.04
|
| Rate for Payer: BCBS MAPPO |
$3.49
|
| Rate for Payer: BCBS MAPPO |
$2.12
|
| Rate for Payer: BCBS MAPPO |
$3.86
|
| Rate for Payer: BCBS MAPPO |
$2.56
|
| Rate for Payer: BCBS MAPPO |
$2.91
|
| Rate for Payer: BCBS MAPPO |
$2.95
|
| Rate for Payer: BCBS MAPPO |
$2.39
|
| Rate for Payer: BCBS MAPPO |
$1.40
|
| Rate for Payer: BCBS MAPPO |
$3.25
|
| Rate for Payer: BCBS MAPPO |
$2.70
|
| Rate for Payer: BCBS Trust/PPO |
$8.42
|
| Rate for Payer: BCBS Trust/PPO |
$7.85
|
| Rate for Payer: BCBS Trust/PPO |
$11.47
|
| Rate for Payer: BCBS Trust/PPO |
$6.99
|
| Rate for Payer: BCBS Trust/PPO |
$10.69
|
| Rate for Payer: BCBS Trust/PPO |
$9.99
|
| Rate for Payer: BCBS Trust/PPO |
$9.70
|
| Rate for Payer: BCBS Trust/PPO |
$12.69
|
| Rate for Payer: BCBS Trust/PPO |
$9.58
|
| Rate for Payer: BCBS Trust/PPO |
$8.87
|
| Rate for Payer: BCBS Trust/PPO |
$4.60
|
| Rate for Payer: BCN Commercial |
$7.85
|
| Rate for Payer: BCN Commercial |
$8.87
|
| Rate for Payer: BCN Commercial |
$8.42
|
| Rate for Payer: BCN Commercial |
$11.47
|
| Rate for Payer: BCN Commercial |
$12.69
|
| Rate for Payer: BCN Commercial |
$10.69
|
| Rate for Payer: BCN Commercial |
$4.60
|
| Rate for Payer: BCN Commercial |
$9.58
|
| Rate for Payer: BCN Commercial |
$9.99
|
| Rate for Payer: BCN Commercial |
$6.99
|
| Rate for Payer: BCN Commercial |
$9.70
|
| Rate for Payer: BCN Medicare Advantage |
$2.95
|
| Rate for Payer: BCN Medicare Advantage |
$1.40
|
| Rate for Payer: BCN Medicare Advantage |
$3.25
|
| Rate for Payer: BCN Medicare Advantage |
$3.04
|
| Rate for Payer: BCN Medicare Advantage |
$3.86
|
| Rate for Payer: BCN Medicare Advantage |
$3.49
|
| Rate for Payer: BCN Medicare Advantage |
$2.12
|
| Rate for Payer: BCN Medicare Advantage |
$2.56
|
| Rate for Payer: BCN Medicare Advantage |
$2.70
|
| Rate for Payer: BCN Medicare Advantage |
$2.39
|
| Rate for Payer: BCN Medicare Advantage |
$2.91
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$9.44
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$9.72
|
| Rate for Payer: Cofinity Commercial |
$9.28
|
| Rate for Payer: Cofinity Commercial |
$10.15
|
| Rate for Payer: Cofinity Commercial |
$10.02
|
| Rate for Payer: Cofinity Commercial |
$13.27
|
| Rate for Payer: Cofinity Commercial |
$12.00
|
| Rate for Payer: Cofinity Commercial |
$8.81
|
| Rate for Payer: Cofinity Commercial |
$7.31
|
| Rate for Payer: Cofinity Commercial |
$4.82
|
| Rate for Payer: Cofinity Commercial |
$8.21
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$10.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.49
|
| Rate for Payer: Healthscope Commercial |
$7.65
|
| Rate for Payer: Healthscope Commercial |
$5.04
|
| Rate for Payer: Healthscope Commercial |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$9.71
|
| Rate for Payer: Healthscope Commercial |
$12.55
|
| Rate for Payer: Healthscope Commercial |
$10.62
|
| Rate for Payer: Healthscope Commercial |
$13.89
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$8.60
|
| Rate for Payer: Healthscope Commercial |
$10.48
|
| Rate for Payer: Healthscope Commercial |
$10.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.46
|
| Rate for Payer: Mclaren Medicaid |
$1.68
|
| Rate for Payer: Mclaren Medicaid |
$2.29
|
| Rate for Payer: Mclaren Medicaid |
$2.46
|
| Rate for Payer: Mclaren Medicaid |
$0.99
|
| Rate for Payer: Mclaren Medicaid |
$2.14
|
| Rate for Payer: Mclaren Medicaid |
$2.08
|
| Rate for Payer: Mclaren Medicaid |
$1.90
|
| Rate for Payer: Mclaren Medicaid |
$1.81
|
| Rate for Payer: Mclaren Medicaid |
$2.05
|
| Rate for Payer: Mclaren Medicaid |
$2.72
|
| Rate for Payer: Mclaren Medicaid |
$1.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.19
|
| Rate for Payer: Meridian Medicaid |
$2.00
|
| Rate for Payer: Meridian Medicaid |
$2.25
|
| Rate for Payer: Meridian Medicaid |
$2.18
|
| Rate for Payer: Meridian Medicaid |
$2.86
|
| Rate for Payer: Meridian Medicaid |
$2.16
|
| Rate for Payer: Meridian Medicaid |
$2.41
|
| Rate for Payer: Meridian Medicaid |
$2.58
|
| Rate for Payer: Meridian Medicaid |
$1.77
|
| Rate for Payer: Meridian Medicaid |
$1.04
|
| Rate for Payer: Meridian Medicaid |
$1.57
|
| Rate for Payer: Meridian Medicaid |
$1.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Nomi Health Commercial |
$6.97
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$9.96
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$8.85
|
| Rate for Payer: Nomi Health Commercial |
$4.59
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$12.65
|
| Rate for Payer: Nomi Health Commercial |
$9.68
|
| Rate for Payer: Nomi Health Commercial |
$8.40
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: PACE Senior Care Partners |
$1.33
|
| Rate for Payer: PACE Senior Care Partners |
$2.27
|
| Rate for Payer: PACE Senior Care Partners |
$2.02
|
| Rate for Payer: PACE Senior Care Partners |
$3.09
|
| Rate for Payer: PACE Senior Care Partners |
$2.80
|
| Rate for Payer: PACE Senior Care Partners |
$2.77
|
| Rate for Payer: PACE Senior Care Partners |
$3.66
|
| Rate for Payer: PACE Senior Care Partners |
$2.56
|
| Rate for Payer: PACE Senior Care Partners |
$2.43
|
| Rate for Payer: PACE Senior Care Partners |
$2.89
|
| Rate for Payer: PACE Senior Care Partners |
$3.31
|
| Rate for Payer: PACE SWMI |
$2.12
|
| Rate for Payer: PACE SWMI |
$2.70
|
| Rate for Payer: PACE SWMI |
$2.56
|
| Rate for Payer: PACE SWMI |
$2.91
|
| Rate for Payer: PACE SWMI |
$2.95
|
| Rate for Payer: PACE SWMI |
$3.04
|
| Rate for Payer: PACE SWMI |
$3.25
|
| Rate for Payer: PACE SWMI |
$3.49
|
| Rate for Payer: PACE SWMI |
$3.86
|
| Rate for Payer: PACE SWMI |
$1.40
|
| Rate for Payer: PACE SWMI |
$2.39
|
| Rate for Payer: PHP Commercial |
$13.12
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: PHP Commercial |
$9.90
|
| Rate for Payer: PHP Commercial |
$10.03
|
| Rate for Payer: PHP Commercial |
$9.17
|
| Rate for Payer: PHP Commercial |
$11.86
|
| Rate for Payer: PHP Commercial |
$4.76
|
| Rate for Payer: PHP Commercial |
$10.33
|
| Rate for Payer: PHP Commercial |
$7.22
|
| Rate for Payer: PHP Commercial |
$8.70
|
| Rate for Payer: PHP Commercial |
$8.12
|
| Rate for Payer: PHP Medicare Advantage |
$3.86
|
| Rate for Payer: PHP Medicare Advantage |
$1.40
|
| Rate for Payer: PHP Medicare Advantage |
$2.56
|
| Rate for Payer: PHP Medicare Advantage |
$3.25
|
| Rate for Payer: PHP Medicare Advantage |
$2.91
|
| Rate for Payer: PHP Medicare Advantage |
$2.39
|
| Rate for Payer: PHP Medicare Advantage |
$2.95
|
| Rate for Payer: PHP Medicare Advantage |
$2.70
|
| Rate for Payer: PHP Medicare Advantage |
$3.04
|
| Rate for Payer: PHP Medicare Advantage |
$2.12
|
| Rate for Payer: PHP Medicare Advantage |
$3.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$7.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.31
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health Medicare |
$2.98
|
| Rate for Payer: Priority Health Medicare |
$1.41
|
| Rate for Payer: Priority Health Medicare |
$2.41
|
| Rate for Payer: Priority Health Medicare |
$2.15
|
| Rate for Payer: Priority Health Medicare |
$2.94
|
| Rate for Payer: Priority Health Medicare |
$3.07
|
| Rate for Payer: Priority Health Medicare |
$2.72
|
| Rate for Payer: Priority Health Medicare |
$3.90
|
| Rate for Payer: Priority Health Medicare |
$2.59
|
| Rate for Payer: Priority Health Medicare |
$3.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.11
|
| Rate for Payer: Railroad Medicare Medicare |
$3.04
|
| Rate for Payer: Railroad Medicare Medicare |
$3.86
|
| Rate for Payer: Railroad Medicare Medicare |
$3.25
|
| Rate for Payer: Railroad Medicare Medicare |
$2.39
|
| Rate for Payer: Railroad Medicare Medicare |
$2.56
|
| Rate for Payer: Railroad Medicare Medicare |
$2.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1.40
|
| Rate for Payer: Railroad Medicare Medicare |
$3.49
|
| Rate for Payer: Railroad Medicare Medicare |
$2.12
|
| Rate for Payer: Railroad Medicare Medicare |
$2.70
|
| Rate for Payer: Railroad Medicare Medicare |
$2.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.44
|
| Rate for Payer: UHC Core |
$11.65
|
| Rate for Payer: UHC Core |
$4.68
|
| Rate for Payer: UHC Core |
$7.10
|
| Rate for Payer: UHC Core |
$9.85
|
| Rate for Payer: UHC Core |
$12.88
|
| Rate for Payer: UHC Core |
$10.15
|
| Rate for Payer: UHC Core |
$9.73
|
| Rate for Payer: UHC Core |
$9.01
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Core |
$7.97
|
| Rate for Payer: UHC Core |
$8.55
|
| Rate for Payer: UHC Exchange |
$2.95
|
| Rate for Payer: UHC Exchange |
$1.40
|
| Rate for Payer: UHC Exchange |
$2.70
|
| Rate for Payer: UHC Exchange |
$3.25
|
| Rate for Payer: UHC Exchange |
$3.86
|
| Rate for Payer: UHC Exchange |
$2.56
|
| Rate for Payer: UHC Exchange |
$2.91
|
| Rate for Payer: UHC Exchange |
$2.12
|
| Rate for Payer: UHC Exchange |
$3.49
|
| Rate for Payer: UHC Exchange |
$2.39
|
| Rate for Payer: UHC Exchange |
$3.04
|
| Rate for Payer: UHC Medicaid |
$2.08
|
| Rate for Payer: UHC Medicaid |
$2.29
|
| Rate for Payer: UHC Medicaid |
$2.72
|
| Rate for Payer: UHC Medicaid |
$2.14
|
| Rate for Payer: UHC Medicaid |
$2.46
|
| Rate for Payer: UHC Medicaid |
$0.99
|
| Rate for Payer: UHC Medicaid |
$2.05
|
| Rate for Payer: UHC Medicaid |
$1.90
|
| Rate for Payer: UHC Medicaid |
$1.50
|
| Rate for Payer: UHC Medicaid |
$1.81
|
| Rate for Payer: UHC Medicaid |
$1.68
|
| Rate for Payer: UHC Medicare Advantage |
$2.95
|
| Rate for Payer: UHC Medicare Advantage |
$3.86
|
| Rate for Payer: UHC Medicare Advantage |
$1.40
|
| Rate for Payer: UHC Medicare Advantage |
$2.56
|
| Rate for Payer: UHC Medicare Advantage |
$3.04
|
| Rate for Payer: UHC Medicare Advantage |
$2.12
|
| Rate for Payer: UHC Medicare Advantage |
$3.49
|
| Rate for Payer: UHC Medicare Advantage |
$2.39
|
| Rate for Payer: UHC Medicare Advantage |
$2.70
|
| Rate for Payer: UHC Medicare Advantage |
$3.25
|
| Rate for Payer: UHC Medicare Advantage |
$2.91
|
| Rate for Payer: UHCCP Medicaid |
$1.50
|
| Rate for Payer: UHCCP Medicaid |
$2.29
|
| Rate for Payer: UHCCP Medicaid |
$1.90
|
| Rate for Payer: UHCCP Medicaid |
$0.99
|
| Rate for Payer: UHCCP Medicaid |
$1.81
|
| Rate for Payer: UHCCP Medicaid |
$2.46
|
| Rate for Payer: UHCCP Medicaid |
$2.08
|
| Rate for Payer: UHCCP Medicaid |
$2.14
|
| Rate for Payer: UHCCP Medicaid |
$2.05
|
| Rate for Payer: UHCCP Medicaid |
$2.72
|
| Rate for Payer: UHCCP Medicaid |
$1.68
|
| Rate for Payer: VA VA |
$2.95
|
| Rate for Payer: VA VA |
$3.49
|
| Rate for Payer: VA VA |
$2.70
|
| Rate for Payer: VA VA |
$3.04
|
| Rate for Payer: VA VA |
$3.25
|
| Rate for Payer: VA VA |
$2.56
|
| Rate for Payer: VA VA |
$3.86
|
| Rate for Payer: VA VA |
$2.12
|
| Rate for Payer: VA VA |
$2.39
|
| Rate for Payer: VA VA |
$1.40
|
| Rate for Payer: VA VA |
$2.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.75
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$28,670.90
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$27,305.62 |
| Max. Negotiated Rate |
$28,670.90 |
| Rate for Payer: BCBS Complete |
$28,670.90
|
| Rate for Payer: Mclaren Medicaid |
$27,305.62
|
| Rate for Payer: Meridian Medicaid |
$28,670.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$27,305.62
|
| Rate for Payer: UHC Medicaid |
$27,305.62
|
| Rate for Payer: UHCCP Medicaid |
$27,305.62
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$12,829.44
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$12,218.52 |
| Max. Negotiated Rate |
$12,829.44 |
| Rate for Payer: BCBS Complete |
$12,829.44
|
| Rate for Payer: Mclaren Medicaid |
$12,218.52
|
| Rate for Payer: Meridian Medicaid |
$12,829.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,218.52
|
| Rate for Payer: UHC Medicaid |
$12,218.52
|
| Rate for Payer: UHCCP Medicaid |
$12,218.52
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$25,452.23
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$24,240.22 |
| Max. Negotiated Rate |
$25,452.23 |
| Rate for Payer: BCBS Complete |
$25,452.23
|
| Rate for Payer: Mclaren Medicaid |
$24,240.22
|
| Rate for Payer: Meridian Medicaid |
$25,452.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$24,240.22
|
| Rate for Payer: UHC Medicaid |
$24,240.22
|
| Rate for Payer: UHCCP Medicaid |
$24,240.22
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$19,585.96
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$18,653.30 |
| Max. Negotiated Rate |
$19,585.96 |
| Rate for Payer: BCBS Complete |
$19,585.96
|
| Rate for Payer: Mclaren Medicaid |
$18,653.30
|
| Rate for Payer: Meridian Medicaid |
$19,585.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,653.30
|
| Rate for Payer: UHC Medicaid |
$18,653.30
|
| Rate for Payer: UHCCP Medicaid |
$18,653.30
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$22,788.33
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$21,703.17 |
| Max. Negotiated Rate |
$22,788.33 |
| Rate for Payer: BCBS Complete |
$22,788.33
|
| Rate for Payer: Mclaren Medicaid |
$21,703.17
|
| Rate for Payer: Meridian Medicaid |
$22,788.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,703.17
|
| Rate for Payer: UHC Medicaid |
$21,703.17
|
| Rate for Payer: UHCCP Medicaid |
$21,703.17
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$35,364.32
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$33,680.30 |
| Max. Negotiated Rate |
$35,364.32 |
| Rate for Payer: BCBS Complete |
$35,364.32
|
| Rate for Payer: Mclaren Medicaid |
$33,680.30
|
| Rate for Payer: Meridian Medicaid |
$35,364.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$33,680.30
|
| Rate for Payer: UHC Medicaid |
$33,680.30
|
| Rate for Payer: UHCCP Medicaid |
$33,680.30
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,147.73
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$13,474.02 |
| Max. Negotiated Rate |
$14,147.73 |
| Rate for Payer: BCBS Complete |
$14,147.73
|
| Rate for Payer: Mclaren Medicaid |
$13,474.02
|
| Rate for Payer: Meridian Medicaid |
$14,147.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,474.02
|
| Rate for Payer: UHC Medicaid |
$13,474.02
|
| Rate for Payer: UHCCP Medicaid |
$13,474.02
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$9,191.68
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$8,753.98 |
| Max. Negotiated Rate |
$9,191.68 |
| Rate for Payer: BCBS Complete |
$9,191.68
|
| Rate for Payer: Mclaren Medicaid |
$8,753.98
|
| Rate for Payer: Meridian Medicaid |
$9,191.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,753.98
|
| Rate for Payer: UHC Medicaid |
$8,753.98
|
| Rate for Payer: UHCCP Medicaid |
$8,753.98
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$8,968.20
|
|
|
Service Code
|
APR-DRG 0242
|
| Min. Negotiated Rate |
$8,541.14 |
| Max. Negotiated Rate |
$8,968.20 |
| Rate for Payer: BCBS Complete |
$8,968.20
|
| Rate for Payer: Mclaren Medicaid |
$8,541.14
|
| Rate for Payer: Meridian Medicaid |
$8,968.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,541.14
|
| Rate for Payer: UHC Medicaid |
$8,541.14
|
| Rate for Payer: UHCCP Medicaid |
$8,541.14
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$12,733.22
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$12,126.87 |
| Max. Negotiated Rate |
$12,733.22 |
| Rate for Payer: BCBS Complete |
$12,733.22
|
| Rate for Payer: Mclaren Medicaid |
$12,126.87
|
| Rate for Payer: Meridian Medicaid |
$12,733.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,126.87
|
| Rate for Payer: UHC Medicaid |
$12,126.87
|
| Rate for Payer: UHCCP Medicaid |
$12,126.87
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$19,445.56
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$18,519.58 |
| Max. Negotiated Rate |
$19,445.56 |
| Rate for Payer: BCBS Complete |
$19,445.56
|
| Rate for Payer: Mclaren Medicaid |
$18,519.58
|
| Rate for Payer: Meridian Medicaid |
$19,445.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,519.58
|
| Rate for Payer: UHC Medicaid |
$18,519.58
|
| Rate for Payer: UHCCP Medicaid |
$18,519.58
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,500.29
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$5,238.37 |
| Max. Negotiated Rate |
$5,500.29 |
| Rate for Payer: BCBS Complete |
$5,500.29
|
| Rate for Payer: Mclaren Medicaid |
$5,238.37
|
| Rate for Payer: Meridian Medicaid |
$5,500.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,238.37
|
| Rate for Payer: UHC Medicaid |
$5,238.37
|
| Rate for Payer: UHCCP Medicaid |
$5,238.37
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,399.83
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$11,809.36 |
| Max. Negotiated Rate |
$12,399.83 |
| Rate for Payer: BCBS Complete |
$12,399.83
|
| Rate for Payer: Mclaren Medicaid |
$11,809.36
|
| Rate for Payer: Meridian Medicaid |
$12,399.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,809.36
|
| Rate for Payer: UHC Medicaid |
$11,809.36
|
| Rate for Payer: UHCCP Medicaid |
$11,809.36
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,195.15
|
|
|
Service Code
|
APR-DRG 7733
|
| Min. Negotiated Rate |
$3,995.38 |
| Max. Negotiated Rate |
$4,195.15 |
| Rate for Payer: BCBS Complete |
$4,195.15
|
| Rate for Payer: Mclaren Medicaid |
$3,995.38
|
| Rate for Payer: Meridian Medicaid |
$4,195.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,995.38
|
| Rate for Payer: UHC Medicaid |
$3,995.38
|
| Rate for Payer: UHCCP Medicaid |
$3,995.38
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,344.34
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,185.09 |
| Max. Negotiated Rate |
$3,344.34 |
| Rate for Payer: BCBS Complete |
$3,344.34
|
| Rate for Payer: Mclaren Medicaid |
$3,185.09
|
| Rate for Payer: Meridian Medicaid |
$3,344.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,185.09
|
| Rate for Payer: UHC Medicaid |
$3,185.09
|
| Rate for Payer: UHCCP Medicaid |
$3,185.09
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,894.08
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,803.88 |
| Max. Negotiated Rate |
$1,894.08 |
| Rate for Payer: BCBS Complete |
$1,894.08
|
| Rate for Payer: Mclaren Medicaid |
$1,803.88
|
| Rate for Payer: Meridian Medicaid |
$1,894.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,803.88
|
| Rate for Payer: UHC Medicaid |
$1,803.88
|
| Rate for Payer: UHCCP Medicaid |
$1,803.88
|
|
|
ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$20,623.44
|
|
|
Service Code
|
APR-DRG 0734
|
| Min. Negotiated Rate |
$19,641.38 |
| Max. Negotiated Rate |
$20,623.44 |
| Rate for Payer: BCBS Complete |
$20,623.44
|
| Rate for Payer: Mclaren Medicaid |
$19,641.38
|
| Rate for Payer: Meridian Medicaid |
$20,623.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,641.38
|
| Rate for Payer: UHC Medicaid |
$19,641.38
|
| Rate for Payer: UHCCP Medicaid |
$19,641.38
|
|
|
ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$11,645.78
|
|
|
Service Code
|
APR-DRG 0733
|
| Min. Negotiated Rate |
$11,091.22 |
| Max. Negotiated Rate |
$11,645.78 |
| Rate for Payer: BCBS Complete |
$11,645.78
|
| Rate for Payer: Mclaren Medicaid |
$11,091.22
|
| Rate for Payer: Meridian Medicaid |
$11,645.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,091.22
|
| Rate for Payer: UHC Medicaid |
$11,091.22
|
| Rate for Payer: UHCCP Medicaid |
$11,091.22
|
|
|
ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$8,566.99
|
|
|
Service Code
|
APR-DRG 0732
|
| Min. Negotiated Rate |
$8,159.03 |
| Max. Negotiated Rate |
$8,566.99 |
| Rate for Payer: BCBS Complete |
$8,566.99
|
| Rate for Payer: Mclaren Medicaid |
$8,159.03
|
| Rate for Payer: Meridian Medicaid |
$8,566.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,159.03
|
| Rate for Payer: UHC Medicaid |
$8,159.03
|
| Rate for Payer: UHCCP Medicaid |
$8,159.03
|
|
|
ORBIT AND EYE PROCEDURES
|
Facility
|
IP
|
$6,931.10
|
|
|
Service Code
|
APR-DRG 0731
|
| Min. Negotiated Rate |
$6,601.04 |
| Max. Negotiated Rate |
$6,931.10 |
| Rate for Payer: BCBS Complete |
$6,931.10
|
| Rate for Payer: Mclaren Medicaid |
$6,601.04
|
| Rate for Payer: Meridian Medicaid |
$6,931.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,601.04
|
| Rate for Payer: UHC Medicaid |
$6,601.04
|
| Rate for Payer: UHCCP Medicaid |
$6,601.04
|
|
|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$7,144.06
|
|
|
Service Code
|
APR-DRG 7573
|
| Min. Negotiated Rate |
$6,803.87 |
| Max. Negotiated Rate |
$7,144.06 |
| Rate for Payer: BCBS Complete |
$7,144.06
|
| Rate for Payer: Mclaren Medicaid |
$6,803.87
|
| Rate for Payer: Meridian Medicaid |
$7,144.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,803.87
|
| Rate for Payer: UHC Medicaid |
$6,803.87
|
| Rate for Payer: UHCCP Medicaid |
$6,803.87
|
|
|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$4,149.93
|
|
|
Service Code
|
APR-DRG 7571
|
| Min. Negotiated Rate |
$3,952.31 |
| Max. Negotiated Rate |
$4,149.93 |
| Rate for Payer: BCBS Complete |
$4,149.93
|
| Rate for Payer: Mclaren Medicaid |
$3,952.31
|
| Rate for Payer: Meridian Medicaid |
$4,149.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,952.31
|
| Rate for Payer: UHC Medicaid |
$3,952.31
|
| Rate for Payer: UHCCP Medicaid |
$3,952.31
|
|
|
ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES
|
Facility
|
IP
|
$16,126.99
|
|
|
Service Code
|
APR-DRG 7574
|
| Min. Negotiated Rate |
$15,359.04 |
| Max. Negotiated Rate |
$16,126.99 |
| Rate for Payer: BCBS Complete |
$16,126.99
|
| Rate for Payer: Mclaren Medicaid |
$15,359.04
|
| Rate for Payer: Meridian Medicaid |
$16,126.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,359.04
|
| Rate for Payer: UHC Medicaid |
$15,359.04
|
| Rate for Payer: UHCCP Medicaid |
$15,359.04
|
|
